CART or Communication Access Realtime Translation is the verbatim, near instantaneous conversion of spoken language into text. A stenotype machine, notebook computer and realtime software is used to produce the text. CART is usually utilized by people with hearing loss who use spoken language as a primary mode of communication. The text produced by the CART service can be displayed on an individual’s computer monitor, projected onto a screen, combined with a video presentation to appear as captions, or otherwise made available using other transmission and display systems. Communication Access Realtime Translation (CART) can also be defined as the ability to use information at the moment it happens because it is converted to another form. Communication Access Realtime Translation (CART) can be performed anywhere. In a classroom, church, at graduations etc. The spoken word is tranformed into written text, and thereofre enables def people to know at exactly that time what other people are telling them. There are tow types of Communication Access Realtime Translation (CART): Oniste CART and Remote CART. Onsite CART uses the setup that is described in the previous paragraph where the captioner and the hard of hearing individual are in the same room. Remote CART however, separates the two by having the captioner at a different location then the hard of hearing individual. Remote CART uses internet technologies like streaming text.